Individual provider Active NPI

Audrey Violand, MSSW LSW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1710965546
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S0012011 Issued in OH
Practice address
1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone
(937) 223-1781
Fax
(937) 853-0096
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S0012011 OH Primary

Addresses

Primary practice location

1320 Woodman Dr
Ste 200
Dayton, OH 45432

Mailing address

1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone (937) 223-1781

Other identifiers 1

IdentifierTypeStateIssuer
2272231MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326002424 OH Practitioner - Clinical Social Worker 9234576299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0012011OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Card LLC CurrentSince Feb 6, 2024 Accepting new patients
Advanced Therapeutic Services Inc Past Accepting new patients

Locations

1320 Woodman Dr
Dayton, OH 45432
Phone (937) 223-1781

1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone (937) 223-1781

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710965546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLAND",
        "first_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "MSSW LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0012011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.